Individual
DANA COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
5511 PECAN SPGS APT 13304, SAN ANTONIO, TX 78249-5312
(847) 624-0532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109475
TX
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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